Audra A Eggum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Winneconne, Wisconsin. Her current practice location is
140 W Main St, Suite A, Winneconne, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 582-4000.
Audra A Eggum is licensed to practice in Wisconsin (license number 7281-123) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457566689.
Healthcare Provider's Profile
Full Name | Audra A Eggum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 140 W Main St, Winneconne, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457566689
- Provider Enumeration Date: 05/11/2007
- Last Update Date: 01/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 1951719558
- Enrollment ID: I20210420002516
Medical Identifiers
Medical identifiers for Audra A Eggum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457566689 | NPI | - | NPPES |
40923500 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1556-121 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 7281-123 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Audra A Eggum allows following entities to bill medicare on her behalf.
Entity Name | Sherman Counseling Management Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235251349 PECOS PAC ID: 8921338187 Enrollment ID: O20191001002490 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audra A Eggum is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Audra A Eggum, LCSW Po Box 486, 140 W Main, Winneconne, WI 54986-0486 Ph: (920) 582-4000 | Audra A Eggum, LCSW 140 W Main St, Suite A, Winneconne, WI 54986-9409 Ph: (920) 582-4000 |
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